Dr. Isaac Gana
Cardiology
The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.
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Patient's Query
Hi doctor,
I am a 30-year-old female who gave birth to a child eight months ago. I went to a doctor for random chest pain and lightheadedness. The cardiologist did a stress test and an echocardiogram and told me the stress test was slightly off. So he ordered a stress echocardiogram which was done a week later. He told me everything was normal and my pain was not related to the heart. However, I looked into the echocardiogram result, and it says grade 2 diastolic dysfunction, which he never mentioned. I am scared as I researched on the internet about it and came to know it is something abnormal. Can you please take a look at it? I am so scared, and I have two babies. I do not have hypertension or diabetes. I had an echocardiogram eight months back when I was nine months pregnant, which was normal. Does that mean it is progressing rapidly for me? Please help.
Hi,
Welcome to icliniq.com.
I went through your query and understood your concern. Grade 2 diastolic dysfunction is often caused by hypertension or diabetes. And obesity is another cause. So sometimes we see it in normal people. However, I have a few questions. Have you ever had issues with high cholesterol in the past? Do you have a copy of the echocardiogram you did eight months back? I hope this has helped you out. Kindly follow up with the reports.
Patient's Query
Hi doctor,
Thank you for your reply. My cholesterol level is 210 mg/dl. I have attached a copy of the echocardiogram report. I hope this that what you are looking for. Kindly give your suggestions.
Hi,
Welcome back to icliniq.com.
I have seen both echocardiogram reports (attachment removed to protect the patient's identity). Did the symptoms you mentioned (random chest pain and lightheadedness) start after pregnancy? It is not very common to see grade 2 dysfunction without high blood pressure or diabetes. Your cholesterol levels are not high enough to cause this change. Are you still experiencing the symptoms? I hope this has helped you out. Kindly follow up with the answers.
Patient's Query
Hi doctor,
Thank you for your reply. No. I had a severe acid reflux episode two years back, which was the first episode from which I had this issue on and off. I have a faint knowledge of acid reflux. And the doctor ruled out my random chest pain was not from my heart. I traveled to another country three months after my doctor told me everything was fine. I did not have any lightheadedness after that. They never gave me my echo report until last week, which is why I never followed up about diastolic dysfunction with any doctor till now. The cardiologist I am seeing is on vacation, and when I asked him about it over a call, he said everything was fine and nothing to worry about. In addition, I gained over 35 lbs in pregnancy., 128 to 164 lbs, and now I am back to 132 lbs. Please help.
Hi,
Welcome back to icliniq.com.
I want you to believe you do not have any heart issues. It is possible that there was a mistake in the first test. If you had a trace of diastolic dysfunction, there would be obvious causes. I hope this has helped you out. Take care.
Patient's Query
Hi doctor,
Thank you for your reply. Do you think I should ask for a retest? Also, will diastolic dysfunction be visible in a stress echocardiogram? Please answer.
Hi,
Welcome back to icliniq.com.
I suggest you undergo another echocardiogram at a different place. It would be best if you did it at a place with a cardiologist, not a technician. It will give us a better picture. The reason is that both echocardiograms show entirely different results. I hope this has helped you out. Kindly follow up with the reports.
Patient's Query
Hi doctor,
Thank you for your reply. Got it; I will try to do that. Also, both echos were done almost five months apart. Also, in the meanwhile, do I need to take any precautions? In terms of food, exercise, etc. Please guide me.
Hi,
Welcome back to icliniq.com.
At the moment, there are no restrictions on diet or exercise. You can continue with your regular exercise routine. I think there is nothing wrong with you. I do not want to take chances. Once you repeat the echocardiogram, you can send it to me for review. I hope this has helped you out. Kindly follow up with the reports.
Patient's Query
Hi doctor,
Thank you for your reply. Sure, doctor. Thank you so much.
Hi,
Welcome back to icliniq.com.
You are most welcome. Take care.
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